Active NPI
Northeast Orthopedics Inc
- Specialist
- Westerville, OH
National Provider Identifier
1043373459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- NORTHEAST ORTHOPEDICS INC
- Practice address
- 164 Wetherby LN
Westerville, OH 43081-4957 - Phone
- (614) 839-2300
- Fax
- (614) 839-2301
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Merle Kennedy, MD
- Title
- Physician
- Phone
- (614) 839-2300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OH | Primary |
Addresses
Primary practice location
164 Wetherby LN
Westerville, OH 43081-4957
Mailing address
164 Wetherby LN
Westerville, OH 43081-4957
Phone (614) 839-2300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2303064 | Medicaid | OH | |
| 5126128 | Other | AETNA |
National Provider Directory
National Provider DirectoryLocations
164 Wetherby Ln
Westerville, OH 43081
Phone (614) 392-1880
495 Cooper Rd
#418
Westerville, OH 43081
Phone (614) 898-6656
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Columbus, OH
- NPI 1285697896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212624000000",
"number": "1043373459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 WETHERBY LN",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430814957",
"telephone_number": "614-839-2300",
"fax_number": "614-839-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 WETHERBY LN",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430814957",
"telephone_number": "614-839-2300",
"fax_number": "614-839-2301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST ORTHOPEDICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2008-06-05",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "MERLE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "614-839-2300",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2303064",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5126128",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.